拒绝医学指示剖宫产的孕妇的处理。

Reviews in obstetrics & gynecology Pub Date : 2012-01-01
Neha A Deshpande, Corrina M Oxford
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引用次数: 0

摘要

在产科实践中,特别是在胎儿生命受到威胁的情况下,知情拒绝的原则可能难以坚持。知情拒绝的一种罕见但可能存在问题的情况是,一名孕妇拒绝接受医学指示的剖宫产,以确保胎儿的健康。虽然有些人认为病人的自主权应该优先考虑,妇女在知情的情况下拒绝手术应该得到尊重,但其他人会认为,慈善、正义和不伤害存活的胎儿应该在道德上推翻拒绝手术的决定。本文探讨了母亲自主权和胎儿权利之间的深刻冲突,提供了一个框架来解决两者的分歧,并为提供者如何更好地应对这一困境提出了建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Management of pregnant patients who refuse medically indicated cesarean delivery.

The doctrine of informed refusal may become difficult to adhere to in obstetric practice, especially in situations in which the fetus's life is at risk. One rare yet potentially problematic situation of informed refusal is the case of a pregnant woman who refuses to undergo a medically indicated cesarean delivery that would ensure the well-being of her fetus. Although some would argue that patient autonomy takes precedence and the woman's informed refusal should be respected, others would argue that beneficence, justice, and doing no harm to the viable fetus should ethically overrule the refusal of a surgery. This article explores the profound conflict between maternal autonomy and the rights of the fetus, provides a framework to address when the two diverge, and poses suggestions for how providers can better navigate this dilemma.

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